Leprosy : $b in its clinical & pathological aspectsHansen, G. Armauer (Gerhard Armauer)
Science
Leprosy : $b in its clinical & pathological aspects
Hansen, G. Armauer (Gerhard Armauer)
Leprosy
We have described these elements as we first observed them in fresh
and carmine-stained preparations, in which they stand out very
definitely, as the brown masses do not take up the carmine stain.
These brown elements, if one knows their characteristic appearance,
may very well serve as diagnostic indications for leprous affections,
for, according to our experience, one never fails to find them except
in very young nodules. Since the discovery and easy recognition of
the lepra bacillus, they have indeed lost their value as diagnostic
signs, unless one is examining perfectly fresh preparations. Later
investigation has proved that these brown clumps are nothing else
but collections of lepra bacilli broken down into granules, and they
have received from Neisser the well-chosen name of “globi,” as they
usually appear in spherical form. Unna declares, in accordance with
his view of the position of the lepra bacilli outside the tumour cells
in the lymph spaces, that these “globi” are collections of bacilli in
the lymph vessels, and that the vacuoles have arisen from the falling
out of bacilli in the middle. In particular, Neisser, Touton, and we,
ourselves, have opposed this view, in that we have all seen the bacilli
definitely in the cells, and have figured them so. In view of the
above description of the discovery of bacilli in fresh preparations and
of these brown clumps, there can scarcely be any doubt of the position
of the bacilli, and of the cellular nature of the brown clumps.
Further, it may be noted that in the testicles the “globi” are chiefly
in the lumen of the seminal canals, where no lymph vessels exist, and
if Unna says of the “globi”[2] that “no one has certainly determined
their cellular character,” he must have said this in ignorance of
our earlier publications in Norwegian. The above description and the
drawings were published by us in 1869 and 1870, in the _Nordiskt
Medicinsk Arkiv_.
[2] Unna, zur Histologie der Leprösenhaut; in Leprastudien, Monatshefte
für practische Dermatologie, Ergänzhungsheft, 1885.
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